Kerry Lynn Richman, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4765 Issued in NC

Practice address

7301 Carmel Executive Park Dr
Suite 302
Charlotte, NC 28226-8251

Phone

(704) 540-3777

Fax

(704) 540-1443

NPI assigned

Mar 1, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kidspeak Speech and Language Services, Inc.

  • Speech-Language Pathologist
  • Charlotte, NC
  • NPI 1831226745
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1699803817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 BATSON CREEK LN",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "281040062",
            "telephone_number": "704-578-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 CARMEL EXECUTIVE PARK DR",
            "address_2": "SUITE 302",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268251",
            "telephone_number": "704-540-3777",
            "fax_number": "704-540-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMAN",
        "first_name": "KERRY",
        "middle_name": "LYNN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "4765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "12889",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7648723",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rondell L Richardson, CO, BOCP
• Rose Richardson, MA, LMFTA
• Sonyia Copeland Richardson, LCSW
• Yvette Richardson, MSW/LCSWA
• Lauakia Miranda Richburg, PHARMD
• Tami Marie Richmond
• Joshua David Richter, MD
• Stephanie Rozier Richter, M.D.
• Alexandra Richwalski
• Kristin Nicole Richwine, O.D.

• Speech-Language Pathologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.